The treatment of patients suffering from cleft lip(s) with or without a cleft palate (CL/P) is multidisciplinary. The careful consideration of concerned families during the repetitive appointments required by these treatments show the importance of the psychological context and of the harmonious structuring of the parents-child relationships on the child's development. Yet the birth of a child affected by CL/P is a particularly stressing and traumatising event for the parents. The investigators' prospective, multidisciplinary and multi-centred research project aims to assess the psychological perceptions of parents of children affected by CL/P over the year following the birth and analyse the child's degree of psychological suffering as well as the parents-child relationships. The time of the first surgical intervention varies amongst the treatment centres. The investigators listed four centres that intervene at different times according to the more or less long waiting times between the child's birth and this first surgical intervention. The results obtained for each group will be compared to one another and according to two sub-groups: parents who found out about the CL/P through embryo diagnosis and those who found out at their child's birth. The mental and psychological dimension due to the malformation and its correction will be analysed in the parents group (importance of the prenatal diagnosis, relational development with the child, self-esteem, quality of life) but also in the child (likely distress and withdrawal symptoms).
Study Type
OBSERVATIONAL
Enrollment
150
CHRU, Centre de référence des malformations Cranio Maxillo Faciales Rares, Hôpital Salengro
Lille, France
CHU, Service de Chirurgie Maxillo-Faciale et Plastique de la Face Hôpital Central
Nancy, France
APHP Armand Trousseau, Centre de Référence des Malformations Rares de la Face et de la Cavité Buccale
Paris, France
CHRU, Service de Chirurgie Maxillo-Faciale Chirurgie B1
Strasbourg, France
CSERD, Pôle d'odontologie
Strasbourg, France
CHRU, Service de Chirurgie Infantile
Strasbourg, France
Assess the emotional state of withdrawal of any child carrying a CL/P based on the psychological state of their parents and time before the first surgery. We use ADBB scale for the child.
Time frame: 2 years
Learning about the psychological effects of this abnormality on parents from the time of diagnosis and of the therapeutic management. We use PSI scale for the parents.
Time frame: 2 years
Indices of psychological distress by Quebec Health Survey (IDPESQ) and the Edinburgh Postnatal Depression Scale (EPDS).The Family Impact Scale. The Dyadic Adjustment Scale Spanier of determining the marital context and questionnaires ad-hoc.
Time frame: 2 years
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